Arts for Health and Wellbeing. An Evaluation Framework.

Arts for Health and Wellbeing. An Evaluation Framework.
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艺术促进健康和福祉。

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发表时间:
2016
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通讯作者:
N. Daykin
N. Daykin
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作者:
N. Daykin

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艺术,包括音乐、舞蹈、戏剧、视觉艺术和写作,越来越多地被认为具有支持健康和福祉的潜力。然而,为了将抗逆转录病毒治疗纳入卫生和社会保健服务的委托,需要有强有力的证据证明其有效性、影响和成本。本文件提供了关于记录艺术对健康和福祉影响的适当方法的指导,无论是通过小规模的项目评估还是大规模的研究研究。它提出了一个报告项目活动的标准框架,这将加强对在具体情况下什么是可行的理解,并使方案之间能够进行切合实际的评估和适当的比较。 该文件以标准的公共卫生评估框架为蓝本,分为三个部分。第一部分提供背景讨论,以帮助理解该框架。讨论了评价原则和做法,包括项目规划、宣传的作用以及协商和利益攸关方参与的重要性。 在第二部分中,概述了不同类型的评估,并提出了艺术促进健康和福祉评估的建议工具,包括结果测量。此外,还介绍了变革理论等关键概念,以及可用于支持评价的逻辑建模等方法。 本文件的第三部分分两节介绍报告工具。第一节介绍了项目交付的关键组成部分,包括干预的性质、参与的人口、项目发生的环境、支持项目所需的资源、质量保证的程序以及项目旨在实现的结果。第二节介绍评价细节,旨在鼓励明确确定重要方面,如理由、评价问题、评价设计、抽样、数据收集和分析、过程评价、道德操守和同意、报告和传播、评价管理和开展评价所需的资源。 该文件面向卫生专员、第三部门组织、培训者、资助者、实践者、管理者、艺术组织、研究人员和其他对发展和评估艺术促进健康和福祉方案感兴趣的人。一些促进健康和福祉的艺术活动,如一对一艺术疗法的临床评估,或对艺术的社会影响的人口水平评估,都不在本文件的讨论范围之内。该文件不包括评价理论或关于如何使用所建议的方法的详细指导。相反,它寻求提供一个框架,使利用抗逆转录病毒治疗干预措施支持健康和福祉的工作建立在日益健全的评估基础上。
The arts, including music, dance, theatre, visual arts and writing, are increasingly recognised as having the potential to support health and wellbeing. However, in order for arts to be included in commissioning of health and social care services, there needs to be robust evidence of their effectiveness, impacts and costs. This document provides guidance on appropriate ways of documenting the impacts of arts for health and wellbeing, whether through small scale project evaluations or large scale research studies. It suggests a standard framework for reporting of project activities that will strengthen understanding of what works in specific contexts and enable realistic assessment and appropriate comparisons to be made between programmes. The document is modelled on standard public health evaluation frameworks and is in three parts. Part one provides background discussion to help make sense of the framework. There is a discussion of evaluation principles and practice, encompassing project planning, the role of advocacy and the importance of consultation and stakeholder involvement. In part two the different types of evaluation are outlined, with suggested tools for arts for health and wellbeing evaluation, including outcomes measurement. There is also an introduction to key concepts such as theories of change, and approaches such as logic modelling that can be used to support evaluation. Part three of the document presents the reporting tool in two sections. Section one captures the key components of project delivery, including the nature of the intervention, the populations engaged, the settings where the project takes place, the resources needed to support it, procedures for quality assurance, and the outcomes that the project is designed to achieve. Section two captures evaluation details and is intended to encourage clear identification of important aspects such as rationale, evaluation questions, evaluation design, sampling, data collection and analysis, process evaluation, ethics and consent, reporting and dissemination, evaluation management and the resources needed to undertake evaluation. The document is intended for health commissioners, third sector organisations, trainers, funders, practitioners, managers, arts organisations, researchers and others with an interest in the development and evaluation of arts for health and wellbeing programmes. Some arts for health and wellbeing activities, such as clinical evaluation of one-to-one arts therapies, or population-level assessment of the social effects of the arts are outside the scope of this document. The document does not include evaluation theory or detailed guidance about how to use the methodologies suggested. Rather, it seeks to provide a framework whereby the use of arts interventions to support health and wellbeing is built on increasingly robust evaluation.